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Health Inspection

Calhoun Convalescent Center

March 26, 2025 · Saint Matthews, SC · 601 Dantzler Street
Citations 1
CMS Rating 1/5
Beds 120
Provider ID 425170
Healthcare Facility
Calhoun Convalescent Center
Saint Matthews, SC  ·  View full profile →
Inspection Summary

Calhoun Convalescent Center in Saint Matthews, SC — inspection on March 26, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF880

Observation on 3/24/25 at 5:50 PM, Licensed Practical Nurse (LPN) 1 was observed placing an Evencare G2 glucometer into a pouch. LPN1 stated she had just finished checking a resident's blood sugar and had cleaned it with an alcohol wipe since all residents have their own glucometer.

During an interview on 3/24/25 at 5:54 PM, LPN2 described how she cleans the Evencare G2 glucometers stating that she uses MicroKill Bleach Wipes even though each resident has their own glucometer.

On 03/24/2025 at 5:55 PM RN1 opened the medication cart.

She opened each pouch and pulled the machine from the pouch to verify who had a glucometer. R168 and R67 did not have a glucometer in their pouches.

When asked if she performed a blood sugar check on either of these residents, she stated, I had to do a blood sugar checks check earlier on R168, around noon. I used R86's blood sugar checks machine for him. I always clean with an alcohol pad, with each person.

His blood sugar was 279.

Record review of R86's Face Sheet revealed she was admitted to the facility on [DATE] with diagnoses including but not limited to type 2 diabetes mellitus, binge eating disorder, and morbid obesity.

Record review of R86's quarterly Minimum Data set (MDS) with an Assessment Reference Date (ARD) of 02/19/25 revealed a Brief Interview Mental Status (BIMS) score of 15, of 15, indicating she was cognitively intact.

Record review of R168's Face Sheet revealed he was admitted on [DATE] with diagnoses including but not limited to: orthopedic aftercare following surgical amputation.

Record review of R168's MDS admission MDS with an ARD date of 03/18/25 revealed a BIMS score of 15, of 15, indicating he was cognitively intact.

Record review of R168's MAR dated 03/24/25 at 12:30 PM indicated that a blood sugar check was performed, with a result of 279 mg/dL.

Record review of R67's Face Sheet revealed R67 was admitted to the facility on [DATE] with the diagnoses including but not limited to: type 2 diabetes mellitus with hyperglycemia, hypertension, pain, and schizophrenia.

Record review of R67's quarterly MDS with an ARD of 03/14/25 revealed a BIMS score of 12 of 15 which indicates he is moderately impaired.

425170

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 425170 B.

Wing 03/26/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Calhoun Convalescent Center 601 Dantzler Street Saint Matthews, SC 29135

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Saint Matthews, SC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Calhoun Convalescent Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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